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DR. MARK J SIMONELLI M.D.
NPI 1598759334
Obstetrics & Gynecology in Southbridge, MA

Active since September 08, 2005PECOS Enrolled
97.02/100
CMS Quality Rating
100 SOUTH ST, SUITE G05, SOUTHBRIDGE, MA 01550(508) 765-5981(508) 764-4637 Get Directions Write a Review

NPPES record last updated: December 21, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark J Simonelli M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK J SIMONELLI M.D. (NPI 1598759334) is an individual obstetrics & gynecology provider in Southbridge, Massachusetts, licensed in Massachusetts (75660) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Health - Harrington Hospital, and is a graduate of George Washington University School Of Medicine (1988).

NPPES Registry Identity

NPI1598759334
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. MARK J SIMONELLICredential: M.D.
Location Address100 SOUTH ST, SUITE G05Southbridge, MA 01550-4051
Mailing Address100 South St, Suite G05Southbridge, MA 01550-4051 · (508) 765-5981 · Fax (508) 764-4637
Phone(508) 765-5981
Fax(508) 764-4637
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1988
Enumeration DateSeptember 8, 2005
Last NPPES UpdateDecember 21, 2011
✔ NPI 1598759334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MA · 75660
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
100 SOUTH ST, Southbridge, MA 01550
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Other Identifiers 4

Medicare UPINS26449MA
Medicaid3098001MA
Medicare PINJ1233601MA
Medicare ID-Type UnspecifiedJ12336MA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark J Simonelli M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395723753
PECOS Enrollment IDI20040712000825
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
56 services56 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
41 services32 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services17 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
20 services20 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220019
Location100 South StreetSouthbridge, MA 01550 · Worcester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01550 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDWARD YE PA-C
Physician Assistant (Medical)
100 SOUTH ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-9771
DR. KRISHNAVENI SIRIGADDI MD
Internal Medicine
100 SOUTH ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-9771
DR. CARL JOHN VANDERPUTTEN DO
Emergency Medicine
100 SOUTH ST, HARRINGTON MEMORIAL HOSPITAL
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-9771
DR. MARSHA KAY FEARING MD, MPH, MMSC.
Pediatrics
100 SOUTH ST, STE 102
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-7860
MR. DOMINIC IDOKO MA
Counselor (Mental Health)
100 SOUTH ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-9771
STEPHANIE RUIZ-GONZALEZ CRNA
Nurse Anesthetist, Certified Registered
100 SOUTH ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 909-7799
MARY E FRISELLA MD
Internal Medicine (Cardiovascular Disease)
100 SOUTH ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 764-6041
TAMMY JOHNSON
Counselor (Mental Health)
100 SOUTH ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-9771

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Simonelli's NPI number?

The NPI number for Mark Simonelli is 1598759334. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Where is Mark Simonelli located?

Mark Simonelli practices at 100 South St Suite G05, Southbridge, MA 01550. The listed phone number is (508) 765-5981.

What is Mark Simonelli's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mark Simonelli enrolled in Medicare?

Yes. Mark Simonelli is registered in the Medicare PECOS enrollment system.

Is Mark Simonelli affiliated with any hospitals?

According to CMS data, Mark Simonelli is affiliated with Umass Memorial Health - Harrington Hospital.

When was this NPI record last updated?

The NPPES record for Mark Simonelli was last updated on December 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.